Wellstar Douglas Hospital – General Acute Care Hospital, NPI 1649247974

Wellstar Douglas Hospital is a healthcare provider. based in Marietta, Georgia. specializing in General Acute Care Hospital. The NPI Number for Wellstar Douglas Hospital is 1649247974

Main info

Organization
Name
Wellstar Douglas Hospital
NPI
1649247974
Phone
(470) 644-0012
Address
793 SAWYER RD
Authorized Official
ANTHONY J BUDZINSKI EVP AND CHIEF FINANCIAL OFFICER
Enumeration Date
7 March 2006
Last Update Date
31 October 2024

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness90
Years active:20State licenses:0Updated within 12 months

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Provider Addresses for Wellstar Douglas Hospital

  • 793, Sawyer Road Northeast, Westoak, Marietta, Cobb County, Georgia, 30062, United States

    MARIETTA, GA 300622222

    Phone: (470) 644-0012

    Type: Mailing

  • WellStar Douglas Hospital, 8954, Hospital Drive, Anneewakee Heights, Douglasville, Douglas County, Georgia, 30134, United States

    DOUGLASVILLE, GA 301342272

    Phone: (770) 949-1500

    Fax: (770) 792-1784

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080501000646OHospitalGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30062)

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Reviews

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Frequently asked questions

Can I use this page to confirm Wellstar Douglas Hospital's NPI?
Yes. Wellstar Douglas Hospital is listed with NPI 1649247974 in the public NPI dataset.
Can I rely on Wellstar Douglas Hospital being an active provider?
As of the registry snapshot, Wellstar Douglas Hospital is marked active.
What taxonomy line describes Wellstar Douglas Hospital?
For research purposes, treat Wellstar Douglas Hospital as General Acute Care Hospital in this dataset. Clinical services aligned with this taxonomy classification.
What area does Wellstar Douglas Hospital serve?
Wellstar Douglas Hospital's listing highlights Marietta, Georgia; more addresses can appear in NPPES.
Is the information about Wellstar Douglas Hospital up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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